Skip to main content

MD turns to private insurers to help fund shift to new hospital rate-setting framework

By The Baltimore Sun  
   January 20, 2026

State officials last week voted to tap private health insurance plans to make up for an expected loss in funding and rate-setting control as Maryland transitions to a new federal framework for Medicare payments to state hospitals. The changes approved Wednesday by the Health Services Cost Review Commission will not take effect for at least a year, but will likely mean higher premiums for people on private health insurance plans when they do kick in. It's part of a multiyear shift to the new Achieving Healthcare Efficiency through Accountable Design, or AHEAD, model of setting hospital rates for Medicare services in the state. Private insurers are less than pleased with the new plan.

Full story


Get the latest on healthcare leadership in your inbox.